The South Bend Clinic Llp
LBN: The South Bend Clinic Llp
The South Bend Clinic Llp is an health care organization with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
The South Bend Clinic Llp can be contacted via phone (574) 246-8816, or through Macken-Marble, Kelly E. via phone (574) 237-9201.
Contact Information
Primary practice address
211 N Eddy St
South Bend IN 46617-2808
Phone: (574) 246-8816
Fax: (574) 237-9309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1538257167 |
|---|---|
| LBN Legal business name | The South Bend Clinic Llp |
| DBA Doing business as | |
| Authorized official | Macken-Marble, Kelly E. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jan 10th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538257167 | NPPES |
| Indiana | MEDICAID | 200266980A |
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